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Question :

Posted On : 16 Apr 2023

A 3-year-old child complained of an Episode of tonic-clonic convulsion with loss of Consciousness for 1 hr 3 days back. He had no fever. Now he is asymptomatic should anticonvulsants be started straight away? What is the protocol to start anticonvulsants in unprovoked seizures under 5 years old children I mean first unprovoked generalized seizure?

Expert Answer :

Answer Discussion :

D

Dr. Sandeep Raina

0

We do not start AED after first unprovoked seizure as about 60% patients do not have a seizure recurrence

1 year ago

S

Santosh R

0

r/o remote symtomatic seizure, significant MRI / EEG findings ,focal seizure, family history of epilepsy are indications for first unprovoked seizure

1 year ago

M

mohamed mustafa

0

2 unprovoked seizures 24 hr apart

1 year ago

R

RAJESH boddula

0

Start First line anticonvulsant, and get done EEG and MRI with Contrarst for finding out the cause of Seizures

1 year ago

Q

Queen Nwos

0

commence AED after EEG

1 year ago

Answer 1

Focal onset may have been missed. A head CT to rule out structural lesions and EEG should be done. If both normal and no family h, o epilepsy then there is no need to start anticonvulsant as the risk of epilepsy is less than 50 percent.

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